What diagnostic test should the nurse anticipate for an older patient who is vomiting "coffee-ground" emesis?
Endoscopy
Barium studies
Angiography
Gastric analysis
The Correct Answer is A
"Coffee-ground" emesis is a term used to describe vomit that has the appearance of coffee grounds, which indicates that the vomit contains partially digested blood. This is a serious symptom that could be indicative of an upper gastrointestinal bleed. An endoscopy is a diagnostic test that allows healthcare providers to visually examine the upper gastrointestinal tract and identify the source of bleeding.
Barium studies and angiography are not typically used to diagnose upper gastrointestinal bleeds. Gastric analysis may be useful in other diagnostic situations, but it is not the most appropriate test for a patient with "coffee-ground" emesis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should explain to the patient that phenazopyridine is a medication that can help relieve the pain, burning, and urgency associated with UTIs. However, it does not treat the underlying infection. The nurse should also instruct the patient to take the medication as prescribed by the healthcare provider and inform them that the medication may turn their urine an orange or red color, which is a harmless and expected side effect.
The nurse should also inform the patient that taking phenazopyridine before sexual intercourse is not recommended and that the medication should be taken as directed by the healthcare provider.
Correct Answer is B
Explanation
Since the patient's blood glucose level is less than 70 mg/dL and they are symptomatic, the first step is to administer 1 mg Glucagon IM. This will help increase the patient's blood glucose level quickly.
After administering Glucagon, the nurse should then call the MD to report the low blood glucose level and discuss any necessary adjustments to the patient's insulin regimen. It is important to note that in this situation, administering Humalog insulin would further lower the patient's blood glucose level and could worsen their symptoms. Encouraging the patient to eat their meal is also important, but it should be done after the administration of Glucagon to help maintain their blood glucose level.
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